JPWO2021246292A5 - - Google Patents

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JPWO2021246292A5
JPWO2021246292A5 JP2022528784A JP2022528784A JPWO2021246292A5 JP WO2021246292 A5 JPWO2021246292 A5 JP WO2021246292A5 JP 2022528784 A JP2022528784 A JP 2022528784A JP 2022528784 A JP2022528784 A JP 2022528784A JP WO2021246292 A5 JPWO2021246292 A5 JP WO2021246292A5
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Japan
Prior art keywords
coil
disposed
wire
leaf spring
fixed
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JP2022528784A
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JP7651570B2 (en
JPWO2021246292A1 (en
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Priority claimed from PCT/JP2021/020269 external-priority patent/WO2021246292A1/en
Publication of JPWO2021246292A1 publication Critical patent/JPWO2021246292A1/ja
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Claims (16)

遠位端と近位端とを有し、長手方向に延在する内腔を有するシャフトと、
遠位端と近位端とを有し、前記遠位端が前記シャフトの遠位端部に固定され、前記近位端が前記シャフトの近位端部に配置され、前記シャフトの内腔に延在する第1ワイヤ及び第2ワイヤと、
前記長手方向において前記シャフトの内腔を、前記第1ワイヤが配置される第1部と、前記第2ワイヤが配置される第2部に分離するように前記シャフトの内腔に配置されている板バネと、
前記長手方向に延在し、前記第1ワイヤ及び前記第2ワイヤが配置されている内腔を有し、前記板バネの近位端が固定されており、前記板バネより近位側に配置されている支持部材と、
前記第1ワイヤが配置されている内腔を有する第1コイルと、を有しており
前記第1コイルは、前記支持部材の遠位端より遠位側であって前記第1部内に配置されており前記第2部内には配置されておらず、前記長手方向において前記板バネの近位側に配置されており前記板バネの遠位側には配置されておらず、
記第1コイルは、自然状態における全長Lと最大圧縮時の全長LC1とを有し、その比であるLC1/Lは0.9以上である前記第1コイルとを有するカテーテル。
a shaft having a distal end and a proximal end and having a longitudinally extending lumen;
a first wire and a second wire having a distal end and a proximal end, the distal end being fixed to the distal end of the shaft, the proximal end being disposed at the proximal end of the shaft, and extending into a lumen of the shaft;
a leaf spring disposed in the inner cavity of the shaft so as to separate the inner cavity of the shaft in the longitudinal direction into a first portion in which the first wire is disposed and a second portion in which the second wire is disposed;
a support member extending in the longitudinal direction, having an inner cavity in which the first wire and the second wire are disposed, to which a proximal end of the leaf spring is fixed, and disposed proximally of the leaf spring;
a first coil having an inner lumen in which the first wire is disposed;
the first coil is disposed within the first portion distal to a distal end of the support member and not disposed within the second portion, and is disposed proximal to the leaf spring and not disposed distal to the leaf spring in the longitudinal direction;
A catheter comprising the first coil, the first coil having a total length L1 in a natural state and a total length Lc1 at maximum compression, the ratio Lc1 / L1 being 0.9 or greater.
前記第1コイルは、前記板バネの近位端側に少なくとも2箇所で固定されており、前記第1コイルと前記板バネが固定されている部分である第1固定部と、前記第1固定部より近位側に位置し前記第1コイルと前記板バネが固定されている部分である第2固定部と、前記第1固定部と前記第2固定部との間に位置し前記板バネに固定されていない部分である中間非固定部とを有している請求項1に記載のカテーテル。2. The catheter according to claim 1, wherein the first coil is fixed to the proximal end side of the leaf spring at at least two points, and has a first fixed portion where the first coil and the leaf spring are fixed, a second fixed portion located proximal to the first fixed portion where the first coil and the leaf spring are fixed, and an intermediate non-fixed portion located between the first fixed portion and the second fixed portion and not fixed to the leaf spring. 前記支持部材は、チューブ又はコイルである請求項1又は2に記載のカテーテル。 The catheter according to claim 1 or 2 , wherein the support member is a tube or a coil . 前記第1コイルは、非圧縮である請求項1~3のいずれかに記載のカテーテル。 The catheter of claim 1 , wherein the first coil is non-compressible. 前記第1コイルと前記板バネとが固定されている部分は、前記第1コイルの前記板バネの一方面に面する面に位置する請求項1~のいずれか一項に記載のカテーテル。 The catheter according to any one of claims 1 to 4 , wherein a portion where the first coil and the leaf spring are fixed is located on a surface of the first coil facing one surface of the leaf spring. 前記第1コイルの非固定部であって、前記長手方向の長さが最も長い非固定部は、前記長手方向の自然状態における長さが、前記第1コイルの自然状態における全長Lの50%以上である請求項1~のいずれか一項に記載のカテーテル。 The catheter according to any one of claims 1 to 5, wherein a non-fixed portion of the first coil that has the longest longitudinal length has a length in the longitudinal direction in its natural state that is 50% or more of the total length L1 of the first coil in its natural state. 前記第1コイルは、前記第1コイルの遠位端と前記第1固定部との間に、前記第1コイルと前記板バネとを固定する固定部を有していない遠位側非固定部をさらに有する請求項1~のいずれか一項に記載のカテーテル。 The catheter according to any one of claims 1 to 6, wherein the first coil further has a distal non-fixed portion between a distal end of the first coil and the first fixed portion, the distal non-fixed portion not having a fixed portion that fixes the first coil and the leaf spring. さらに、第2コイルを備え、前記第2コイルは、前記第1ワイヤが配置されている内腔を有し、前記第1部内であって前記第1コイルよりも遠位側に配置されている請求項1~のいずれか一項に記載のカテーテル。 The catheter according to any one of claims 1 to 7, further comprising a second coil, the second coil having an inner lumen in which the first wire is disposed, and disposed within the first portion and distal to the first coil. 前記第2コイルは、自然状態における全長Lと最大圧縮時の全長LC2とを有し、その比LC2/Lは0.9よりも小さい請求項に記載のカテーテル。 The catheter of claim 8 , wherein the second coil has a total length L 2 in a resting state and a total length L C2 at maximum compression, the ratio L C2 /L 2 being less than 0.9. 前記第1コイルの曲げ剛性は、前記第2コイルの曲げ剛性よりも大きく、前記第1コイルの曲げ剛性と前記第2コイルの曲げ剛性との差は50%以下である請求項又はに記載のカテーテル。 10. The catheter according to claim 8 , wherein the bending rigidity of the first coil is greater than the bending rigidity of the second coil, and the difference between the bending rigidity of the first coil and the bending rigidity of the second coil is 50% or less. 前記第1コイルは、らせん状に巻かれた第1コイルワイヤを含み、
前記第2コイルは、らせん状に巻かれた第2コイルワイヤを含み、
前記第1コイルのピッチ間隔は、前記第2コイルのピッチ間隔よりも小さい請求項10のいずれか一項に記載のカテーテル。
the first coil includes a first coil wire wound in a helical shape;
the second coil includes a helically wound second coil wire;
The catheter according to any one of claims 8 to 10 , wherein the pitch interval of the first coil is smaller than the pitch interval of the second coil.
前記第1コイルのコイルワイヤ径及びコイル径は、前記第2コイルのコイルワイヤ径及びコイル径と同じである請求項11に記載のカテーテル。 The catheter of claim 11 , wherein a coil wire diameter and a coil diameter of the first coil are the same as a coil wire diameter and a coil diameter of the second coil. さらに、第3コイルを備え、前記第3コイルは、前記第2ワイヤが配置されている内腔を有し、前記第2部に配置されている請求項1~12のいずれか一項に記載のカテーテル。 The catheter according to any one of claims 1 to 12 , further comprising a third coil, the third coil having an inner lumen in which the second wire is disposed, and disposed in the second portion. 前記第3コイルは、自然状態における全長Lと最大圧縮時の全長LC3とを有し、前記LC3/Lは0.9よりも小さい請求項13に記載のカテーテル。 14. The catheter of claim 13 , wherein the third coil has a total length L3 in a resting state and a total length Lc3 at maximum compression, Lc3 / L3 being less than 0.9. 第2コイルを備え、前記第2コイルは、前記第1ワイヤが配置されている内腔を有し、前記第1部の前記第1コイルよりも遠位側に配置されており、
第3コイルを備え、前記第3コイルは、前記第2ワイヤが配置されている内腔を有し、前記第2部に配置されており、
内腔を有し前記シャフト内腔内に配置される保護チューブをさらに有しており、前記保護チューブは、前記内腔に前記板バネ、前記第1コイル、前記第2コイル、及び前記第3コイルが配置されている請求項1~14のいずれか一項に記載のカテーテル。
a second coil having an inner lumen in which the first wire is disposed and disposed distal to the first coil in the first section;
a third coil, the third coil having an inner lumen in which the second wire is disposed, the third coil being disposed in the second portion;
The catheter according to any one of claims 1 to 14, further comprising a protective tube having an inner lumen and disposed within the shaft lumen, the protective tube having the leaf spring, the first coil, the second coil, and the third coil disposed within the inner lumen.
前記第1コイルは、前記第1固定部及び前記第2固定部が、溶接、はんだ、接着、又は圧接により固定されている請求項1~15のいずれか一項に記載のカテーテル。 The catheter according to any one of claims 1 to 15 , wherein the first coil is fixed at the first fixing portion and the second fixing portion by welding, soldering, adhesion, or crimping.
JP2022528784A 2020-06-04 2021-05-27 catheter Active JP7651570B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
JP2020097338 2020-06-04
JP2020097338 2020-06-04
PCT/JP2021/020269 WO2021246292A1 (en) 2020-06-04 2021-05-27 Catheter

Publications (3)

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JPWO2021246292A1 JPWO2021246292A1 (en) 2021-12-09
JPWO2021246292A5 true JPWO2021246292A5 (en) 2024-05-13
JP7651570B2 JP7651570B2 (en) 2025-03-26

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JP2022528784A Active JP7651570B2 (en) 2020-06-04 2021-05-27 catheter

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US (1) US20230302258A1 (en)
JP (1) JP7651570B2 (en)
CN (1) CN115666702A (en)
WO (1) WO2021246292A1 (en)

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Publication number Priority date Publication date Assignee Title
JP2024078567A (en) * 2022-11-30 2024-06-11 日本発條株式会社 Guidewires
WO2025166221A1 (en) * 2024-02-01 2025-08-07 Centerline Biomedical, Inc. Steerable sheeth

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JP3232308B2 (en) * 1990-02-02 2001-11-26 ボストン サイエンティフィック リミテッド Catheter steering mechanism
US5807249A (en) * 1996-02-16 1998-09-15 Medtronic, Inc. Reduced stiffness, bidirectionally deflecting catheter assembly
US20090312698A1 (en) * 2008-06-16 2009-12-17 Greatbatch Ltd. Bi-directional steerable sheath
WO2010096347A1 (en) * 2009-02-20 2010-08-26 Boston Scientific Scimed, Inc. Asymmetric dual directional steerable catheter sheath
JP5557393B2 (en) * 2011-01-19 2014-07-23 日本ライフライン株式会社 Tip deflectable catheter
US8460237B2 (en) * 2011-11-10 2013-06-11 Biosense Webster (Israel), Ltd. Medical device control handle with multiplying linear motion
US9694161B2 (en) * 2012-11-14 2017-07-04 Biosense Webster (Israel), Ltd. Catheter with flat beam providing nonsymmetrical curve bi-directional deflection
JP2014117399A (en) * 2012-12-14 2014-06-30 River Seikoo:Kk Medical kaseta and method of manufacturing medical kaseta
US9050010B2 (en) * 2012-12-31 2015-06-09 Biosense Webster (Israel) Ltd. Double loop lasso with single puller wire for bi-directional actuation
CN203763234U (en) * 2013-12-26 2014-08-13 上海微创电生理医疗科技有限公司 Medical catheter
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